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California rates for HCPCS 78434

Absolute quantitation of myocardial blood flow (AQMBF), positron emission tomography (PET), rest and pharmacologic stress (List separately in addition to code for primary procedure)

Facilitymedian $182 · 10th–90th $79–$5130%20%10th90th$182Professionalmedian $98 · 10th–90th $30–$2630%10%10th90th$98$5.0$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$79.43 / $89.13 / $512.86
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$29.51 / $123.03 / $263.03
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $45.71 / $87.10
Blue Shield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $63.10 / $154.88
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.22 / $35.48 / $83.18
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$4.07 / $33.11 / $37.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $38.02 / $69.18
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$181.97 / $181.97 / $181.97
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$181.97 / $229.09 / $229.09
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$23.99 / $23.99 / $23.99
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.22 / $33.88 / $83.18
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $102.33 / $102.33
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $34.67 / $85.11